Collins Sara R, Robertson Ruth, Garber Tracy, Doty Michelle M
Commonwealth Fund, USA.
Issue Brief (Commonw Fund). 2012 Feb;3:1-24.
The new Commonwealth Fund Health Insurance Tracking Survey of U.S.Adults finds nearly three of five adults in families earning less than 133 percent of the federal poverty level were uninsured for a time in 2011; two of five were uninsured for one or more years. Low- and moderate-income adults who were uninsured during the year were much less likely to have a regular source of health care than people in the same income range who were insured all year. In addition, uninsured lower-income adults were more likely than insured adults in the same income group to cite factors other than medical emergencies as reasons for going to the emergency room. These included needing a prescription drug, not having a regular doctor, or saying that other places cost too much. The Affordable Care Act will substantially narrow these inequities through an extensive set of affordable coverage options starting in 2014.
英联邦基金会一项针对美国成年人的新型医疗保险跟踪调查发现，在收入低于联邦贫困线133%的家庭中，近五分之三的成年人在2011年曾有一段时间未参保；五分之二的人有一年或更长时间未参保。在当年未参保的中低收入成年人比全年参保的同收入人群更不可能有固定的医疗保健来源。此外，与同收入组的参保成年人相比，未参保的低收入成年人更有可能将医疗紧急情况以外的因素作为前往急诊室的理由。这些因素包括需要处方药、没有固定医生，或者表示其他地方费用太高。《平价医疗法案》将从2014年起通过一系列广泛的可负担保险选项大幅缩小这些不平等现象。
